Computed Tomography

Cardiac computed tomography (CT) has become a primary cardiovascular imaging modality in the past 20 years, and was recommended as a 1A recommendation in the 2021 chest pain assessment guidelines. CT calcium scoring has became a primary risk assessment for coronary artery disease and whether patients should be on statins. Coronary CT angiography (CCTA) is used to for anatomical assessment of the arteries for plaque burden and to identify areas of blockage that may cause ischemia and heart attacks. Additional use of contrast CT perfusion or fractional flow reserve CT (FFR-CT) can offer physiological information on the function of the heart. CT plays a primary role in structural heart assessments for heart valves, repair of congenital defects and left atrial appendage occlusion (LAAO) for both pre-procedure planning and procedural guidance. Find more news on general radiology CT use.

AI improves CT assessments, boosts care for real-world heart patients
Automated AI-generated measurements combined with annotated CT images can improve treatment planning and help referring physicians and patients better understand their disease, explained Sarah Jane Rinehart, MD, director of cardiac imaging with Charleston Area Medical Center.
AI predicts cardiovascular risk during CT scans—no invasive tests or contrast required
Two advanced algorithms—one for CAC scores and another for segmenting cardiac chamber volumes—outperformed radiologists when assessing low-dose chest CT scans.
CT procedure shown to reduce need for invasive cardiac testing
In a study, CT-FFR was shown to reduce the need for invasive tests to measure coronary artery blockage from 74.5% to 25.5%.
First-in-human trial shows potential of guiding CABG with cardiac CT and AI—no ICA required
An independent heart team blinded to ICA results was able to deliver helpful guidance for CABG procedures for 99.1% of patients using just CCTA and FFR_CT alone. This approach is safe and feasible, researchers wrote, and the next step is to gather additional data.
Radiology AI company gains FDA clearance for new CT offerings focused on PE, stroke
The newly approved AI models are designed to improve the detection of pulmonary embolisms and strokes in patients who undergo CT scans.

Using computed tomography (CT) to perform coronary artery calcium (CAC) scoring can help identify symptomatic chest pain patients who do not require further testing, according to a new analysis published in Radiology.[1]

Coronary calcium scoring predicts when chest pain patients can skip invasive testing

Using CT to perform coronary artery calcium scoring on symptomatic chest pain patients can deliver significant value, according to a new data published in Radiology.

March 6, 2024

Kate Hanneman, MD, University Of Toronto, explains why vendors and hospitals are increasingly discussing lowing their carbon footprint by starting with radiology.

What does radiology have to do with climate change?

Kate Hanneman, MD, explains why many vendors and hospitals want to lower radiology's impact on the environment. "Taking steps to reduce the carbon footprint in healthcare isn’t just an opportunity," she said. "It’s also a responsibility."

March 1, 2024

The new Philips Healthcare CT 5300 system is aimed at the cardiac CT market and incorporates AI features to improve image quality and workflow. #ECR #YesCCT #CCTA

Philips launches new AI-enabled CT scanner aimed at cardiology at ECR 2024

Philips introduced a new CT system at ECR aimed at the rapidly growing cardiac CT market, incorporating numerous AI features to optimize workflow and image quality.

March 1, 2024

Nauman Mushtaq, MD, Northwestern Medicine, explains the value of CT coronary calcium scoring for patients and for the cardiology business model.

The many benefits of using low-cost CT coronary calcium scoring to screen patients

CT calcium scoring provides valuable evaluations of intermediate-risk patients in addition to making good business sense for hospitals. Nauman Mushtaq, MD, an interventional cardiologist with Northwestern, shared his own experience with this technology.

March 1, 2024

Joseph Swicklik, RT, Mayo Clinic, demonstrates how to use magic to calm pediatric patients during imaging exams.

Using 'magic' to calm pediatric patients during imaging exams

Joseph Swicklik, RT(R)(CT), Mayo Clinic, says magic tricks can help calm pediatric patients to overcome anxiety and make medical imaging exams run much smoother.

February 26, 2024

artificial intelligence AI heart cardiology

Cleerly’s AI software for noninvasive FFR estimates receives a Category 1 CPT code

The company officially launched its Cleerly ISCHEMIA software for delivering noninvasive evaluations of CCTA exams in early 2024. This update provides a closer look at the software from a billing perspective.

February 23, 2024

Examples of photon-counting coronary angiography showing how clarity improves as the thickness of the image is reduced. Top: 60-year-old female, with noncalcified plaque (arrowheads) and coronary stenosis (inset images). The reduced section thickness did not affect assessment in this patient. Bottom: 56-year-old female with calcified plaque (arrowheads) and coronary stenosis. The reduced section thickness leads to less calcium blooming and therefore a less severe percentage of stenosis. Courtesy of RSNA

Coronary artery disease classification improved with photon-counting CT

After a photon-counting CT, 54% of patients had their coronary artery disease classification downgraded.

February 20, 2024

CT-first strategy the most effective path forward when evaluating stable chest pain

Heart teams have several options when patients present with stable chest pain and require further testing. According to a brand new analysis of nearly 800 patients, CCTA may be the best place to start.

February 1, 2024

Around the web

Cardiovascular Business

AI improves CT assessments, boosts care for real-world heart patients

Automated AI-generated measurements combined with annotated CT images can improve treatment planning and help referring physicians and patients better understand their disease, explained Sarah Jane Rinehart, MD, director of cardiac imaging with Charleston Area Medical Center.

Cardiovascular Business

AI predicts cardiovascular risk during CT scans—no invasive tests or contrast required

Two advanced algorithms—one for CAC scores and another for segmenting cardiac chamber volumes—outperformed radiologists when assessing low-dose chest CT scans.

Radiology Business

Google teams with Bayer to address radiologist burnout via AI

"Gen AI can help tackle repetitive tasks and provide insights into massive datasets, saving valuable time," Thomas Kurian, CEO of Google Cloud, said Tuesday.